Individual provider Active NPI

Jennifer Manning, LPC

  • Professional Counselor
  • Littleton, CO
National Provider Identifier
1174216543
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0019397 Issued in CO
Practice address
9200 W Cross Dr
Littleton, CO 80123-2239
Phone
(617) 420-1917
NPI assigned
May 31, 2023
Last updated
Sep 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0019397 CO
Professional Counselor 101YP2500X 0019397 CO Primary

Addresses

Primary practice location

9200 W Cross Dr
Littleton, CO 80123-2239

Mailing address

5205 W Rowland Ave
Littleton, CO 80128-4934

Other practice location 1

4 W Dry Creek Cir
Littleton, CO 80120-8060
Phone (720) 258-6603

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231227001941 CO Practitioner - Mental Health Counselor 9032569405 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0019397COMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

1230 Tenderfoot Hill Rd
Ste 305
Colorado Springs, CO 80906
Phone (719) 266-3919

9200 W Cross Dr
Ste 514
Littleton, CO 80123
Phone (303) 376-8376

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1685491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1174216543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5205 W ROWLAND AVE",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801284934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 W CROSS DR",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801232239",
            "telephone_number": "617-420-1917"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 W Dry Creek Cir",
            "address_purpose": "LOCATION",
            "city": "Littleton",
            "state": "CO",
            "postal_code": "801208060",
            "country_code": "US",
            "telephone_number": "720-258-6603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANNING",
        "first_name": "JENNIFER",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-31",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "0019397",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "0019397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.